West Coast Medical

DME for Doctors

It’s just this easy!

Let’s help your patients with their pain. Let’s give them a TENS unit!

Fill out the DME Pre-verification form and make a copy of the front & back of the patient’s insurance card with DOB and fax them over to 888-318-4826 or 805-426-8564 or you may e-mail it to [email protected]

West Coast Medical will check the patient’s benefits and fax or e-mail you back with a yes or no on whether to dispense unit.

WHEN YOU GET AN APPROVAL, YOU WILL:

Fit and instruct patient with a TENS unit.

Fill out Patient Intake Form and have patient sign and date it.

Fill out DME Prescription / Medical History / Letter of Medical Necessity form (all 3 are on same page). Doctor must sign and date this.

Fax or e-mail all forms to fax # 888-318-4826 or 805-426-8564. Our e-mail is [email protected]

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Thank you for your interest In West Coast Medical

Toll Free Fax

1-888-318-4826

Phone

(888) 578-4826

For inquiries about pre-verifications, please email